The client has a medical diagnosis of multiple sclerosis and receives modafinil (Provigil). Which evaluation by the nurse would most likely indicate a therapeutic response to this drug?
1. Improved appetite and ability to eat
2. Reduction of pain and anxiety
3. Decreased myelin swelling and inflammation
4. Increased alertness and energy
4
Rationale 1: This drug actually might cause anorexia rather than improve appetite.
Rationale 2: Provigil does not affect pain or anxiety (GABA) receptors, and it is not an anti-inflammatory agent.
Rationale 3: Provigil does not affect pain or anxiety (GABA) receptors, and it is not an anti-inflammatory agent.
Rationale 4: Modafinil is an alpha1-adrenergic agent that is thought to activate receptors that respond to the neurotransmitter norepinephrine in the brain. This results in increased alertness and energy.
Global Rationale: Modafinil is an alpha1-adrenergic agent that is thought to activate receptors that respond to the neurotransmitter norepinephrine in the brain. This results in increased alertness and energy. This drug actually might cause anorexia rather than improve appetite. Provigil does not affect pain or anxiety (GABA) receptors, and it is not an anti-inflammatory agent.
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The nurse compresses the nailbed of a child who has just received an arm cast to assess:
a. loss of sensation. b. impending edema. c. perception of pain. d. peripheral circulation.
The Five Wishes document was created in 2011 by the Aging with Dignity organization. It is meant to be an addendum to the living will and/or DPOA
a. Do you think the Five Wishes document helps clarify what a person wants when he or she cannot make his or her own decisions?
An elderly client is diagnosed with a urinary tract infection. Which of the following will the nurse most likely assess in this client?
1. Jaundice 2. Vomiting 3. Poor eating habits 4. Change in mental status
The mother of an adolescent with multiple medical and developmental issues says to the nurse: "There are times that I think about just walking out of the house and not coming back." Which would be an appropriate nursing diagnosis for this mother?
1. Caregiver Role Strain related to providing 24-hour care for a child with medical and developmental issues 2. Risk for Injury (maternal) related to overwhelming demands of the medically fragile child 3. Knowledge Deficit (maternal) related to nursing care of the child 4. Health-seeking Behaviors (maternal) related to interest in learning to care for her child